Organization
HOME SWEET HOME OF THE TREASURWE COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE F, REYNOLDS (OWNER/ADMINISTRATOR)
(772) 359-9088
Entity
Organization
Contact information
Practice address
3201 AVENUE Q, FORT PIERCE, FL 34947
(772) 242-1648
(772) 905-8608
Mailing address
PO BOX 880956, PORT ST LUCIE, FL 34988-0956
(772) 359-9088
(772) 905-8608
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 11731
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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